TRT as an Adjunctive ERAS Therapy in ESRD Patients Undergoing Kidney Transplantation

NCT ID: NCT07287800

Last Updated: 2025-12-17

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ACTIVE_NOT_RECRUITING

Clinical Phase

PHASE1/PHASE2

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-07-01

Study Completion Date

2027-06-30

Brief Summary

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This prospective study aims to evaluate the safety and efficacy of testosterone replacement therapy (TRT) as an adjunct to an enhanced recover after surgery (ERAS) protocol in men with end-stage renal disease (ESRD) undergoing kidney transplantation.

Participants will be highly-listed hypogonadal men, defined as total testosterone level \<300 on two occasions with clinical symptoms of hypogonadism, with ESRD who are expected to receive a kidney transplant within 6 months. Participants will be started on TRT, ideally for at least 3 months prior transplantation. The investigators will perform a subset analysis to evaluate if there is a significant difference in our endpoints by comparing these two subgroups (Three months or more receiving TRT vs. Less than three months receiving TRT). There will be no cut-off time for pre-transplant TRT. Following the intervention period, a historical control cohort of age-matched and health-matched patients will be identified, who have followed a standard transplant protocol that does not incorporate TRT. The primary outcome will evaluate safety, including 30- and 90-day adverse events, 3, 6, and 12-month allograft survival, and overall patient survival. Secondary outcomes will focus on (1) qualitative assessments of symptoms using validated questionnaires, (2) quantitative improvements in the hormonal profile before and after initiation of TRT and surgery, and (3) allograft function and incidence of delayed graft function. The results of this study could provide novel insights into the benefits of TRT in improving surgical outcomes in men with ESRD undergoing kidney transplantation.

Detailed Description

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Conditions

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Hypogonadism, Male End Stage Renal Disease (ESRD) Kidney Transplant

Keywords

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ESRD testosterone replacement therapy hypogonadal kidney transplant

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Testosterone Replacement Therapy

Group Type EXPERIMENTAL

Testosterone Replacement Therapy

Intervention Type DRUG

Testosterone Replacement Therapy

No Testosterone Replacement Therapy

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Testosterone Replacement Therapy

Testosterone Replacement Therapy

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male patients older than 18 years old with confirmed end-stage renal disease (ESRD).
* Hypogonadal (testosterone level \<300 ng/dL) with clinical symptoms of hypogonadism.
* Expected to undergo kidney transplantation within a 6-month period.
* Able and willing to comply with study procedures and follow-up visits.

Exclusion Criteria

* Women or non-hypogonadal men.
* Any contraindications to testosterone therapy, including:

* History of Breast Cancer
* Severe untreated OSA
* Polycythemia (Hct \>54%)
* Uncontrolled chronic heart failure (CHF)
* A history of a Major Adverse Cardiac Event (MACE) within the past 6 months
* Interest in fertility within 1 year
* An unevaluated PSA \>4.0 ng/mL or a PSA \>3.0 ng/mL in individuals with risk factors for prostate cancer defined as:

* Men with African ancestry
* Men with first-degree relative with prostate cancer
* Known genetic mutations including BRCA1/2
* A history of Lynch Syndrome
* Abnormal DRE
* Participants already receiving testosterone or other androgen therapies.
* Severe cardiovascular or pulmonary conditions that pose a high surgical risk.
* Any condition that, in the opinion of the investigator, would make the subject ineligible for the study.
Minimum Eligible Age

18 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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University of California, Los Angeles

OTHER

Sponsor Role lead

Responsible Party

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Nima Nassiri

Assistant Clinical Professor of Urology

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of California, Los Angeles

Los Angeles, California, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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PATS 20252050

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

IRB-24-5575

Identifier Type: -

Identifier Source: org_study_id